액와신경 차단과 관련된 신경손상의 가능한 원인으로서의 인지되지 못한 약물의 신경내 주입 -증례 보고

A 71-year-old man who had a laceration on his right fifth finger underwent an emergency explorative operation under brachial plexus block that was performed by using transaxillary artery technique. During axillary block, no elicitation of paresthesia was presented. Postoperatively he complained numb...

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Bibliographic Details
Published in:Anesthesia and pain medicine (Korean society of anesthesiologists) 2009, 4(4), , pp.368-371
Main Author: 정욱
Format: Article
Language:Korean
Subjects:
마취과학
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Summary:A 71-year-old man who had a laceration on his right fifth finger underwent an emergency explorative operation under brachial plexus block that was performed by using transaxillary artery technique. During axillary block, no elicitation of paresthesia was presented. Postoperatively he complained numbness on his right arm along the dermatome of 7th cervical nerve distribution. Two weeks later the evidence of nerve injury was found on EMG and NCV carried by the department of neurology. Observing closely for another two weeks, the symptoms and signs were gradually improved. On 42nd postoperative day, the patient complained no neurologic problems and the findings of EMG and NCV returned to normal. Considering the method of anesthesia, operation time, tourniquet time and patient position, we conclude that the direct needle injury and intraneural injection during axillary block are the highly suggestive causes of nerve injury. KCI Citation Count: 1
ISSN:1975-5171
2383-7977